Individual
JOHN PARKER HEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1999 MOWRY AVE, #2M, FREMONT, CA 94538
(510) 793-3505
(510) 793-4799
Mailing address
1999 MOWRY AVE, #2M, FREMONT, CA 94538
(510) 793-3505
(510) 793-4799
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A24518
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A245180
—
CA
Enumeration date
10/18/2006
Last updated
07/08/2007
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